Wisconsin Licensed Policy Nurse Analyst

Job Summary

Wisconsin Licensed Policy Nurse Analyst, a full-time position, supports the development and maintenance of Medicare healthcare policies by conducting research, collaborating with Medical Directors, and ensuring compliance with federal regulations.

Key Responsibilities

• Initiate, coordinate, and maintain healthcare policy development for Medicare programs
• Respond to mandates from the Centers for Medicare & Medicaid Services (CMS) and ensure alignment with federal healthcare policy requirements
• Collaborate with multidisciplinary teams to draft, review, and revise medical policies

Required Qualifications

• Bachelor's Degree in Nursing (BSN) or equivalent combination of education and experience
• Active Registered Nurse (RN) license in state of practice or a compact nursing license
• 2 or more years of experience in healthcare, health policy, or clinical research
• Knowledge of medical coding (e.g., ICD-10, CPT, HCPCS)
• Proven experience conducting research and analyzing information